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Consumer Complaint Form

SECTION A
Notice: Under the Public Information Act, this complaint and
the complainant's identity are subject to disclosure.
You, as the complaining party



 

SECTION B
 
Manufacturer


 
 
Retailer


 
 
Installer


 
 
Other


 

SECTION C

Character Limit: 4000   Characters Remaining: 4000

SECTION D
Home Information, if applicable
Home Sections:
  HUD Label
or Texas Seal*
Serial Number Width Length
1
2
3
4
* HUD Labels and Texas seals can be found on a data plate attached to the back end of the
  home, opposite the tow bar end. Labels and seals are 10 characters long with a three
  letter prefix followed by 7 digits, such as TEX0000000. Do not include any dashes in the
  number. Each section of the home will have a different number.



mm/dd/yyyy

mm/dd/yyyy
       
       
       

Character Limit: 4000   Characters Remaining: 4000

By submitting this complaint you swear, under penalty of perjury, that the matters
set forth in this complaint are, to the best of your knowledge, true and correct.

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